The patient with angina asks what to do if the first nitroglycerin tablet (NGT) does not relieve the pain. What instruction by the nurse is correct?

a. "Take 2 tablets 10 minutes after the first dose and go to the ER if you are still hav-ing pain."
b. "Take a second tablet 15 minutes after the first dose and call the physician if you are still having pain."
c. "Take 2 more tablets 30 minutes apart, and then rest for 20 minutes."
d. "Take 2 more tablets 5 minutes apart and notify the physician if your pain is not re-lieved."


D
If the first NTG tablet does not relieve pain, 2 more tablets 5 minutes apart should be taken. If pain is not relieved within 15 minutes, notify the physician.

Nursing

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A patient has been involved in a motor vehicle accident. The patient, who was driving, was unrestrained by a seat belt when hitting the car in front of him. The patient is complaining of midsternal pain, restlessness, and difficulty breathing

What is the priority nursing diagnosis for this patient? A) Anxiety B) Impaired gas exchange C) Impaired circulation D) Pain

Nursing

During a routine physical examination of a 62-year-old female patient, the nurse practitioner identifies xanthelasma around both his eyes. What is the significance of this finding?

A. High potential for future blindness and requires immediate referral B. None, normal variant of aging process C. Abnormal lipid metabolism requiring medical management D. Hereditary variant that is of no consequence but requires watchful waiting

Nursing

The nurse is inserting an indwelling urinary catheter into a male client. As the catheter is inserted into the urethra, urine begins to flow into the tubing. The nurse notes the urine beginning to flow and next:

1. Immediately inflates the balloon 2. Inserts the catheter 2.5 to 5 cm farther, then inflates the balloon 3. Inserts the catheter until resistance is met, then inflates the balloon 4. Withdraws the catheter approximately 1 inch, then inflates the balloon

Nursing

Plant alkaloids that block cell division in the metaphase are classified as which of the following drug classifications?

A. miotic inhibitors B. antimetabolites C. antibiotic antitumor drugs D. alkylating agents

Nursing